Tax Invoice/Bill of Supply/Cash Memo
(Triplicate for Supplier)
Sold By : Billing Address :
SHALINI JAISWAL Shilpa Mishra
* KH-88/10/2, Nihal vihar, New Delhi B202 Aastha Empirel heights, Nallagandla
West Delhi, DELHI, 110041 HYDERABAD, TELANGANA, 500019
IN IN
State/UT Code: 36
PAN No: BZLPJ3441B
GST Registration No: 07BZLPJ3441B1ZO Shipping Address :
Shilpa Mishra
Shilpa Mishra
B202 Aastha Empirel heights, Nallagandla
HYDERABAD, TELANGANA, 500019
IN
State/UT Code: 36
Place of supply: TELANGANA
Place of delivery: TELANGANA
Order Number: 402-0164417-4726776 Invoice Number : IN-16
Order Date: 22.12.2025 Invoice Details : DL-833410713-2526
Invoice Date : 23.12.2025
Sl. Unit Net Tax Tax Tax Total
Description Qty
No Price Amount Rate Type Amount Amount
1 Dorha® Unisex Kids Flip-Flop Slippers | Lightweight, Anti-Skid,
Waterproof Casual Slippers for Boys & Girls | Comfortable & Stylish
Indoor Outdoor Wear | All-Season Use pk101-FL_ Pink | B0FTV1V39R ₹189.52 1 ₹189.52 5% IGST ₹9.48 ₹199.00
( PK-101-FL_ PINK-SZ_-9-10 YR_ )
HSN:6404
TOTAL: ₹9.48 ₹199.00
Amount in Words:
One Hundred Ninety-nine only
For SHALINI JAISWAL:
Authorized Signatory
Whether tax is payable under reverse charge - No
Payment Transaction ID: Date & Time: 22/12/2025, Invoice Value: Mode of Payment:
NXlWzuJp5cmdJ10EIGW3507V3xbUwEDeLzG 23:56:51 hrs 199.00 NetBanking
*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)
Customers desirous of availing input GST credit are requested to create a Business account and purchase on [Link]/business from Business eligible offers
Please note that this invoice is not a demand for payment
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